HomeMy WebLinkAboutSign Permit 09-004 tempCity of Prior Lake
APPLICATION FOR SIGN PERMIT
Permit No. sZ D% Dl�
DIRECTIONS: One completed application per sign is required. Applicant is
1. PARCEL I.D. OF PROPERTY!
responsible for obtaining a building permit if necessary.
Z 6 9:2 d ' e 3 _ 0
2, (NAME) (ADDRESS) (PHONE)
APPLICANT:
4be f vv /Vowel -� si G�Y qq5 07`l
n
3. OWNER: (NAME) (ADDRESS) (PHONE)
o y I-& Lke.r< n vrG O , C� e L - 77
4. SITE ADDRESS OR LOCATION OF SIGN (PHONE)
C✓ - a � '/l
of
S. TYPE OF SIGN: AARr P; AAPMAXLtdLM, DISPLA PBItMANGNr(wALimARQUf,E/AwN1NG /FREESTANDING)
Balfaon•6anrrer *BusinGSS "Changes a PP rgns MS 'llluminofedSigns"Pns6lxli0nal SSgns *Lake SarricxSigns•
Main'pleRaM,Adai Namepinre S'igns*OnPrearise Direcdonol Signs "Permaaeed wlndoty S(gn *Formbia Sign *Subd(vlsion Idanrifwadon Signs
6. SIGN DIMENSIONS
10. Estitasted Value of sign EjCj
(square feet) (Height) (Width) (Depth)
.�a I �
tt. completion Date
7. TYPE OF CONSTRUCTION
Pnyf
S. PROPOSED D DISPLAY DATES (if applicable)
SIGN PERMITS WILL NOT BE PROC SSED IF THEY ARE I NCODIPLETE
1 hereby ter* that I have fumisbcd information Oaths application which is, to the bestof my lnowledge, true and correct I also cwti� She[ I am the owars
or authorind agent for the above - mentioned pmperq, sad that *U eeasrrucdon will conform to all existing state and least laws and will proceed id aceMdeacc
with $AbmiOadplsns. I sm aware tbsttbe City Pla V can ravoko this permit for just cause. Fwdtelmolq I hereby agree thin City OlSciels of a dpiguae thereof
MAY ems upon the property m Part—
sirjNATLT OF PROPERTY OwNEVAGENT DATE
FOR ADM MSTRA.TM USE
S UBMISSION REQUIREIv1SIM
K ComplGad Application
2 Scala Drawing showing location of sign
� Pl= and Specs
_ZC PermitFxS 6,v (Pamitfeeisset
at time of appheanen secordmg to approved Schedule)
This Application becomes your Sign Permit when approved.
B
City Plaaaer 0f designee
Date
This is to certify that The rcq=t to the above application and accompanying documcats is in accordance with the City Sign Ordinance and may proceed as
requested. This docura taut, wbm signed by the City Planer mdesign a cdnstit complimce with the SigaOrdmaam
Special Conditions �M S. .rJ aee i/e &2 Aov 30 2t4 .r & �' Cakna/Fr ew%
Please ktrr a'l�leasf !O a f �'r -t�.•� ro ��f l.:s�s
24 Hour Notice for A11 laspectians
4474230 from 9:00 arm. -10:00 a.m.
cMooumcuts and setdQ9A \jmatzke \lacol aetdngsltCuT rmy iaternet files\olkl I3lsign permit applicatioO.doc